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This is VAERS ID 282420

Case Details

VAERS ID: 282420 (history)  
Age: 15.0  
Gender: Female  
Location: New York  
Vaccinated:2007-06-15
Onset:2007-06-15
   Days after vaccination:0
Submitted: 2007-06-20
   Days after onset:5
Entered: 2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB163AB / 0 UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Cyanosis, Grand mal convulsion, Oxygen supplementation, Urinary incontinence
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: NEUROCARDIOGENIC SYNCOPE, Relevant medical history included after Septra. The subject had not experienced any adverse events following previous vaccinations.
Diagnostic Lab Data: UNK
CDC Split Type: A0658277A

Write-up: This case was reported by a nurse and described the occurrence of generalized tonic clonic seizures in a 15-year-old female subject who was vaccinated with Havrix, GlaxoSmithKline, Gardasil (non-gsk) for prophylaxis. The subject''s medical history included neurocardiogenic syncope and hives after Septra. On 15 June 2007, the subject received 1st dose of Havrix (unknown, left arm), and unspecified dose of Gardasil (unknown). On 15 June 2007, less than one day after vaccination with Gardasil and Havrix, the subject experienced generalized tonic clonic seizures, urinary incontinence and "tonic" cyanosis. The subject experienced a seizure while sitting in the waiting room after her vaccinations were administered. This case was assessed as medically serious by GSK. The subject was treated with oxygen and went to the emergency room and was later released. At the time of reporting, her vital signs were stable and the events were resolved.


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